Ricci Chapter 1 - Test Bank - 4th
Edition Exam Questions with Complete
Solutions
9. The nurse is administering a number of therapeutic interventions for neonates,
infants, and children on the pediatric unit. Which intervention contributes to an
increase in chronic illness seen in early childhood?
A. Administering antibiotics to prevent lethal infections
B. Vaccinating children to prevent childhood diseases
C. Using mechanical ventilation for premature infants
D. Using corticosteroids as a treatment for asthma - Answer-Answer: C
Rationale: Using mechanical ventilation and medications to foster lung development
in premature infants increases their survival rate. Yet the infants who survive are
often faced with myriad chronic illnesses. Administering antibiotics to prevent lethal
infections, vaccinating children to prevent childhood diseases, and using
corticosteroids as a treatment for asthma may cause side effects, but do not
contribute to chronic illness in children.
10. The nurse is reviewing a copy of the U.S. Surgeon General's Report, Healthy
People 2020. Which nursing action best reflects the nurse fostering this health care
agenda?
A. The nurse signs up for classes to obtain an advanced degree in nursing.
B. The nurse volunteers at a local health care clinic providing free vaccinations for
low-income populations.
C. The nurse performs an in-service on basic hospital equipment for student nurses.
D. The nurse compiles nursing articles on evidence-based practices in nursing to
present at a hospital training seminar. - Answer-Answer: B
Rationale: Healthy People 2020 is a comprehensive health promotion and disease
prevention agenda that is working toward improving the quantity and quality of life
for all Americans. Overarching goals are to eliminate preventable disease, disability,
injury, and premature death; achieve health equity, eliminate disparities, and
improve the health of all groups; create physical and social environments that
promote good health; and promote healthy development and behaviors across
every stage of life. Volunteering at a local health care clinic directly reflects the goal
of improving the health of all groups of people. Signing up for classes, performing
in-services on equipment, and compiling nursing articles on evidence-based
practices in nursing are all worthwhile activities that foster health care delivery, but
are not as directly linked to the agenda of promoting health in the community.
11. When assessing a family for barriers to health care, the nurse documents the
psychosocial barriers. What is an example of this type of health care deficit?
A. Academic difficulties
B. Respiratory illness
C. Poor sanitation
D. Inherited diseases - Answer-Answer: A
Rationale: Environmental and psychosocial factors are now an identified area of
, concern in children. They include academic differences, complex psychiatric
disorders, self-harm and harm to others, use of firearms, hostility at school,
substance use disorder, HIV/AIDS, and adverse effects of the media. Respiratory
illness and inherited diseases are health problems, and poor sanitation is an
environmental factor.
12. When integrating the principles of family-centered care, the nurse would include
which concept?
A. Parents want nurses to make decisions about their child's treatment.
B. Families are unable to make informed choices.
C. People have taken increased responsibility for their own health.
D. Families require little information to make appropriate decisions. - Answer-
Answer: C
Rationale: Due to the influence of managed care, the focus on prevention, better
education, and technological advances, people have taken increased responsibility
for their own health. Parents now want information about their child's illness, to
participate in making decisions about treatment, and to accompany their children to
all health care situations.
13. The nurse is caring for a 2-week-old girl with a metabolic disorder. Which
activity would deviate from the characteristics of family-centered care?
A. Softening unpleasant information or prognoses
B. Evaluating and changing the nursing plan of care
C. Collaborating with the child and family as equals
D. Showing respect for the family's beliefs and wishes - Answer-Answer: A
Rationale: Family-centered care requires that the nurse provide open and honest
information to the child and family. It is inappropriate to soften unpleasant
information or prognoses. Evaluating and changing the nursing plan of care to fit the
needs of the child and family, collaborating with them as equals, and showing
respect for their beliefs and wishes are guidelines for family-centered care.
14. The nurse is caring for a 14-year-old girl with multiple health problems. Which
activity would best reflect evidence-based practice by the nurse?
A. Following blood pressure monitoring recommendations
B. Determining how often the vital signs are monitored
C. Using hospital protocol for ordering diagnostic tests
D. Deciding the prescribed medication dose - Answer-Answer: A
Rationale: Using hospital protocol for ordering a diagnostic test, determining how
often the vital signs are monitored, and deciding the medication dose ordered
would be the health care provider's responsibility. However, following blood
pressure monitoring recommendations would be part of evidence-based practice
reflected in the nursing care delivered.
15. The nurse is functioning in the primary role to care for a 12-year-old boy with
metastatic cancer in the liver. Which activity is typical of advocacy?
A. Instructing parents about proper home care
B. Educating the family about choices they have
C. Telling parents about clinical guidelines
D. Teaching the family about types of cancers - Answer-Answer: B
Rationale: Educating the family about choices they have regarding therapies for the
Edition Exam Questions with Complete
Solutions
9. The nurse is administering a number of therapeutic interventions for neonates,
infants, and children on the pediatric unit. Which intervention contributes to an
increase in chronic illness seen in early childhood?
A. Administering antibiotics to prevent lethal infections
B. Vaccinating children to prevent childhood diseases
C. Using mechanical ventilation for premature infants
D. Using corticosteroids as a treatment for asthma - Answer-Answer: C
Rationale: Using mechanical ventilation and medications to foster lung development
in premature infants increases their survival rate. Yet the infants who survive are
often faced with myriad chronic illnesses. Administering antibiotics to prevent lethal
infections, vaccinating children to prevent childhood diseases, and using
corticosteroids as a treatment for asthma may cause side effects, but do not
contribute to chronic illness in children.
10. The nurse is reviewing a copy of the U.S. Surgeon General's Report, Healthy
People 2020. Which nursing action best reflects the nurse fostering this health care
agenda?
A. The nurse signs up for classes to obtain an advanced degree in nursing.
B. The nurse volunteers at a local health care clinic providing free vaccinations for
low-income populations.
C. The nurse performs an in-service on basic hospital equipment for student nurses.
D. The nurse compiles nursing articles on evidence-based practices in nursing to
present at a hospital training seminar. - Answer-Answer: B
Rationale: Healthy People 2020 is a comprehensive health promotion and disease
prevention agenda that is working toward improving the quantity and quality of life
for all Americans. Overarching goals are to eliminate preventable disease, disability,
injury, and premature death; achieve health equity, eliminate disparities, and
improve the health of all groups; create physical and social environments that
promote good health; and promote healthy development and behaviors across
every stage of life. Volunteering at a local health care clinic directly reflects the goal
of improving the health of all groups of people. Signing up for classes, performing
in-services on equipment, and compiling nursing articles on evidence-based
practices in nursing are all worthwhile activities that foster health care delivery, but
are not as directly linked to the agenda of promoting health in the community.
11. When assessing a family for barriers to health care, the nurse documents the
psychosocial barriers. What is an example of this type of health care deficit?
A. Academic difficulties
B. Respiratory illness
C. Poor sanitation
D. Inherited diseases - Answer-Answer: A
Rationale: Environmental and psychosocial factors are now an identified area of
, concern in children. They include academic differences, complex psychiatric
disorders, self-harm and harm to others, use of firearms, hostility at school,
substance use disorder, HIV/AIDS, and adverse effects of the media. Respiratory
illness and inherited diseases are health problems, and poor sanitation is an
environmental factor.
12. When integrating the principles of family-centered care, the nurse would include
which concept?
A. Parents want nurses to make decisions about their child's treatment.
B. Families are unable to make informed choices.
C. People have taken increased responsibility for their own health.
D. Families require little information to make appropriate decisions. - Answer-
Answer: C
Rationale: Due to the influence of managed care, the focus on prevention, better
education, and technological advances, people have taken increased responsibility
for their own health. Parents now want information about their child's illness, to
participate in making decisions about treatment, and to accompany their children to
all health care situations.
13. The nurse is caring for a 2-week-old girl with a metabolic disorder. Which
activity would deviate from the characteristics of family-centered care?
A. Softening unpleasant information or prognoses
B. Evaluating and changing the nursing plan of care
C. Collaborating with the child and family as equals
D. Showing respect for the family's beliefs and wishes - Answer-Answer: A
Rationale: Family-centered care requires that the nurse provide open and honest
information to the child and family. It is inappropriate to soften unpleasant
information or prognoses. Evaluating and changing the nursing plan of care to fit the
needs of the child and family, collaborating with them as equals, and showing
respect for their beliefs and wishes are guidelines for family-centered care.
14. The nurse is caring for a 14-year-old girl with multiple health problems. Which
activity would best reflect evidence-based practice by the nurse?
A. Following blood pressure monitoring recommendations
B. Determining how often the vital signs are monitored
C. Using hospital protocol for ordering diagnostic tests
D. Deciding the prescribed medication dose - Answer-Answer: A
Rationale: Using hospital protocol for ordering a diagnostic test, determining how
often the vital signs are monitored, and deciding the medication dose ordered
would be the health care provider's responsibility. However, following blood
pressure monitoring recommendations would be part of evidence-based practice
reflected in the nursing care delivered.
15. The nurse is functioning in the primary role to care for a 12-year-old boy with
metastatic cancer in the liver. Which activity is typical of advocacy?
A. Instructing parents about proper home care
B. Educating the family about choices they have
C. Telling parents about clinical guidelines
D. Teaching the family about types of cancers - Answer-Answer: B
Rationale: Educating the family about choices they have regarding therapies for the
